TED - Título De Especialista Em Dermatologia Practice Questions - Exame Para Obtenção Do Título De Especialista Em Dermatologia (TED - SBD AMB) Exam

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A 45-year-old female presents with multiple yellowish-brown translucent papules and plaques on the midface. Diascopy (vitropressão) is performed by pressing a transparent glass slide firmly against the active infiltrated border of a lesion. The examiner notes the persistence of discrete 'apple-jelly' (geléia de maçã) yellowish-brown translucent nodules. This semiological sign strongly suggests which histopathological finding?

Accumulation of lipid-laden histiocytes in the upper reticular dermis (Touton giant cells). Dense subepidermal band-like infiltrate of CD8+ T lymphocytes with colloid Civatte bodies. Subcorneal collections of neutrophils with complete epidermal acantholysis. Dermal epithelioid non-caseating or caseating granulomas with clearance of background erythema and telangiectasia.

Correct Answer:

Dermal epithelioid non-caseating or caseating granulomas with clearance of background erythema and telangiectasia.

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